OrganizationActive
Lagrange Park Dentistry PC
NPI 1114803822 · Dental Clinic/Center · La Grange Park, IL
Provider details
- NPI number
- 1114803822
- Entity type
- Organization
- Primary specialty
- Dental Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Ryan Peterson, President/Owner(708) 846-3436
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Established profile(54/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
Under 1 yr in registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
360 Sherwood Rd
La Grange Park, IL 60526-1967
Phone: (708) 354-7363
Street-level locationGet directions
Mailing address
5924 Tyler Dr
Woodridge, IL 60517-1007
Registry dates
- Enumerated
- 2025-08-15
- Last updated
- 2025-08-15
- Certified
- 2025-08-15
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.